Provider Demographics
NPI:1881889772
Name:COLEMAN, WHITNEY LEORA BELLINGER (LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LEORA BELLINGER
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:LEORA
Other - Last Name:BELLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:62 55TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6564
Mailing Address - Country:US
Mailing Address - Phone:202-596-7162
Mailing Address - Fax:
Practice Address - Street 1:62 55TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6564
Practice Address - Country:US
Practice Address - Phone:202-596-7162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500799801041C0700X, 1041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker